| NPI | 1164064481 |
|---|---|
| Doing Business As | COWETA DENTISTRY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SIMS Credentialing Manager 470-552-1823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |